Active NPI
Joseph Todd Moore, FNP, DC
- Family Nurse Practitioner
- Richmond Heights, MO
National Provider Identifier
1679620082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2023010527
- Practice address
- 1505 S Big Bend Blvd
Richmond Heights, MO 63117-2205 - Phone
- (314) 900-0691
- Fax
- (314) 900-0699
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209027238 | IL | |
| Family Nurse Practitioner | 363LF0000X | 2023010527 | MO | Primary |
Addresses
Primary practice location
1505 S Big Bend Blvd
Richmond Heights, MO 63117-2205
Mailing address
19594 State Highway 14
Macedonia, IL 62860-1127
Phone (618) 435-3960
Other practice location 1
11 Executive Woods Ct
Swansea, IL 62226-2016
Phone (618) 513-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209027238 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchpoint Injury and Neuro Group, LLC | Past | Accepting new patients | |
| Manish Suthar MD PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Chesterfield, MO
- NPI 1992984041
-
- Neurology Physician
- Richmond Heights, MO
- NPI 1255220216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1679620082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19594 STATE HIGHWAY 14",
"city": "MACEDONIA",
"state": "IL",
"postal_code": "628601127",
"telephone_number": "618-435-3960",
"fax_number": "314-900-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 S BIG BEND BLVD",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631172205",
"telephone_number": "314-900-0691",
"fax_number": "314-900-0699"
}
],
"practiceLocations": [
{
"address_1": "11 Executive Woods Ct",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622262016",
"country_code": "US",
"telephone_number": "618-513-0090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "JOSEPH",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "FNP, DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209027238",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2023010527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.